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Atheromatous Embolization during Angiography(A Case Report)

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Authors
Song, Sang Yong; Chi, Je G.
Issue Date
1992-09
Publisher
Seoul National University College of Medicine
Citation
Seoul J Med 1992;33(3):219-223
Keywords
Atheromatous embolizationCholesterol emboliCoronary angiographyGangrene
Abstract
Cholesterol embolization is one of the serious complications of ulcerative
atheromatous plaque. Ischemic changes in the lower extremity, brain and other organs
including the kidney, pancreas and gastrointestinal tract due to atherosclerotic
microemboli have been well documented in autopsy cases in the western world. However,
it has been seldom reported in the Korean literature. We report a case of cholesterol
embolization of a foot that happened during coronary angiography with resultant
gangrene necessitating amputation.
A 60-year-old man visited hospital for the evaluation of angina pectoris. He felt a
sudden severe abdominal pain during the coronary angiography followed by loss of pulsation
of the dorsalis pedis arteries. Acute renal failure, glucose intolerance and
gangrene in both feet developed almost simultaneously, and Syme operation was done.
Dissection of the dorsalis pedis artery demonstrated segmental occlusion by cholesterol
emboli with various stages of organization.
ISSN
0582-6802
Language
English
URI
http://hdl.handle.net/10371/6240
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College of Medicine/School of Medicine (의과대학/대학원)Dept. of Medicine (의학과)The Seoul Journal of MedicineThe Seoul Journal of Medicine Vol. 33 No.3 (1992)
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